Sexual arousal increases gastric acid output

Meeroff, J. C.

doi:10.1016/0016-5085(78)93254-7

Cited by 3 publications

(12 citation statements)

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“…28 While both papers were published over 50 years ago, and the authors had limited diagnostic tools available, their findings demonstrate the importance of excluding other gastrointestinal pathology such as cholelithiasis, gastrooesophageal reflux disease and peptic ulcer disease. 3,12 The most common symptom associated with GD was abdominal pain (48.2%), which was most frequently epigastric. Bleeding (i.e., haematemesis or melaena) was present in 13.1% of patients.…”

Section: Clinical Presentationmentioning

confidence: 99%

“…Acute complications are rare but ulceration, perforation, haemorrhagic shock, and torsion have all been described. 12,29 Sommer et al reported that GD located in the body of the stomach may be associated with an increased risk of complications. 11…”

Section: Clinical Presentationmentioning

confidence: 99%

“…If fluoroscopy is to be used to diagnose GD then the sensitivity of radiological examination evaluation is increased by the use of a right, anterior oblique view with the patient in a supine, slightly left lateral decubitus and Trendelenburg position. 12 CT demonstrates GD as a thin-walled cystic lesion with an air-fluid level. 13 In the papers reviewed, only 41 (13.4%) of patients had a CT performed.…”

Section: Investigation and Diagnosismentioning

confidence: 99%

“…12,36 Historically, medical therapy consisted of pre-prandial paraffin, 37 antispasmodics, antacids, and/or a soft diet with postural drainage. 12 Proton-pump inhibitors (PPI) can be used to treat the commonly associated gastrooesophageal pathology, and prokinetic agents have been used to encourage emptying of larger GD. 34,[38][39][40] Palmer wrote 'surgical amputation is indicated in a small percentage of cases when the clinician is convinced the diverticulum is causing significant symptoms', 27 but being certain that it is the GD causing symptoms remains challenging.…”

Section: Managementmentioning

confidence: 99%

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Gastric diverticulum: a contemporary review and update in management

Morris,

Allaway,

Mwagiru

et al. 2023

ANZ Journal of Surgery

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BackgroundGastric diverticula (GD) are the rarest form of gastrointestinal tract diverticulum, with an estimated incidence of 0.013–2.6%. GD are poorly understood and there are no established management guidelines. Only sparse updates have been published since the mid‐20th century. This paper reviews the current literature and provides some suggested guidelines for the management of GD.MethodsA search of Medline via OvidSP and Google Scholar for ‘gastric diverticulum’ and associated synonyms from the year 1950 onwards was performed. We included randomized controlled trials (RCTs), cohort and case–control studies, and case series. Full text, English language manuscripts on adult populations were included.ResultsA total of 103 manuscripts were included in the final selection – 77 individual case studies, 23 case series and three reviews. No RCTs, cohort or case–control studies were found. The case studies represent 305 patients, 50.8% female with average age 49.2 years (range 18–80). The most common symptom was abdominal pain (48.2%). The average maximum diameter was 3.97 cm (range 0.5–9). One hundred and four patients were managed operatively. Despite persistent recommendations in the literature that GD > 4 cm should be considered for resection, there are no data supporting this approach.ConclusionThe evidence pertaining to the management of GD is sparse. The decision for operative management should be individualized and based primarily on the presence of symptoms or complications which may be directly attributable to the GD. Where surgery is indicated, a laparoscopic approach, potentially with intra‐operative gastroscopy, is appropriate.

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Section: Clinical Presentationmentioning

confidence: 99%

Section: Clinical Presentationmentioning

confidence: 99%

Section: Investigation and Diagnosismentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

See 2 more Smart Citations

Gastric diverticulum: a contemporary review and update in management

Morris,

Allaway,

Mwagiru

et al. 2023

ANZ Journal of Surgery

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“…Die angeborene Form macht zirka 70% aller Fälle aus und entsteht meist subkardial an der Magenhinterwand. Sie entstehen, wenn ein Teil des Magenfundus durch das dorsale Mesenterium herniert, bevor er embryonal mit der linken hinteren Körperwand verschmilzt [5,6,7,8,9]. Ursprünglich liegen diese Divertikel oberhalb der Bauchspeicheldrüse, doch durch peristaltische Dehnung während der Entwicklung werden sie nach hinten in das Retroperitoneum geschoben.…”

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